TESTnBANKnEbersolenandnHess’nTowardnHealthynAgingn
9thnEditionnTouhy,jett
Chaptern01:nHealthnandnWellnessninnannAgingnSociety
Touhy:nEbersolen&nHess'nTowardnHealthynAging,n9thnEdition
MULTIPLEnCHOIC
E
1. WhennaskednbynnewnparentsnwhatnthenlifenexpectancynisnforntheirnAfricannAmericann
newborn,nthennursenrepliesnthat,n“2010nstatisticsnindicatenthatnyournson:
a. willnhavenanlifenexpectancynofnapproximatelyn65nyea
rs.”
b. cannrealisticallynexpectntonlivenintonhisnlaten80s.”
c. hasnangoodnchancenofncelebratingnhisn75thnbirthday.”
d. isnlikelyntonlivenintonhisnlaten90s.”
ANS:nC
Inn2010,nmenninnthenUnitednStatesnatnagen60ncannexpectntonlivenanothern22nyears.n
ThenlifenexpectancynofnAfricannAmericannmennisnaboutn4.7nyearsnlessnthannwhitenm
en.nOfnthenoptionsnabove,nCnisnthenonlynresponsenthatnfitsnintonthosenparameters.nTh
enothernoptionsnarennotnsupportednbynreliablenresearch.
DIF: CognitivenLevel:nUnderstanding
REF:np.n3nTOP:n IntegratednProcess:nTeachin
g/Learning
MSC:n ClientnNeeds:nHealthnPromotionnandnMaintenance
2. Annursenisnplanningncarenfornangroupnofnsuper-
centenariansninnannassistednlivingnfacility.nThennursenconsidersnwhichnofnthenfollowin
g?
TESTnBANKnEbersolenandnHess’nTowardnHealthynAgingn
9thnEditionnTouhy,jett
, a. Mostnsuper-centenariansnarenfunctionallynindependentnornrequirenminimal
assistancenwithnactivitiesnofndailynliving
b. Thenmajoritynofnsuper-centenariansnhavencognitivenimpairment
c. Thennumbernofnsuper-
centenariansnisnexpectedntondecreaseninncomingnyearsnasna
resultnofnheartndiseasenandnstroke
d. Itnisntheorizednthatnsuper-
centenariansnsurvivednasnlongnasntheynhavenduentongenetic
mutationsnthatnmadenthemnlessnsusceptiblentoncommonndiseases
ANS:nA
Researchnsupportsnthatnmostnsuper-
centenariansnarenfunctionallynandncognitivelynintact,nrequiringnminimalnassistancenwithn
ADLs.nThennumbernofnsuper-
centenariansnisnexpectedntonincreaseninncomingnyearsnasnthennumbernofnoldernadultsninc
reases.nThenreasonnwhynindividualsnsurvivednasnlongnasntheynhavenisnnotnknown.
DIF: CognitivenLevel:nRemembering
REF:np.n4nTOP:n IntegratednProcess:nTeachin
g/Learning
MSC:n ClientnNeeds:nHealthnPromotionnandnMaintenance
3. Onenreasonnwhynmanyn“babynboomers”nhavenmultiplenchronicnconditionsnsuchnasnheart
ndisease,ndiabetes,nandnarthritisnisnthat:
a. theynhavenlessnaccessntonmedicationnandnotherntreatmentnregimens.
b. therenwasnanlacknofnimportancenplacednonnhealthynlivingnasntheynwerengrowi
ngnup.
c. theyndidnnotnhavenaccessntonimmunizationsnagainstncommunicablendiseasenwh
en
theynwerenchildren.
d. theyngrewnupninnanneranofnrampantnpovertynandnmalnutrition.
TESTnBANKnEbersolenandnHess’nTowardnHealthynAgingn
9thnEditionnTouhy,jett
, ANS:nB
Thenbabynboomers,nindividualsnbornnbetweenn1946nandn1964,npost-
WWII,nhavenbetternaccessntonmedicationnandntreatmentnregimensnthannotherncohorts.nTh
eynhavenhadnthenbenefitnofnthendevelopmentnofnimmunizationsnagainstncommunicablendi
seases.nTheyngrewnupninnanneranofnprosperitynpost-
WWII.nHowever,ntherenwasnanlacknofnimportancenplacednonnwhatnwennownconsidernhe
althynlivingnwhenntheynwerenyounger.nSmoking,nfornexample,nwasnnotncondoned,nbutn
wasnconsiderednansymbolnofnstatus.nCandyninnthenshapenofncigarettesnwasnpopular,nand
ntherenwasnmuchnsecondhandnsmoke.
DIF: CognitivenLevel:nRemembering
REF:np.n6nTOP:n IntegratednProcess:nTeachin
g/Learning
MSC:n ClientnNeeds:nHealthnPromotionnandnMaintenance
4. Annursenisnplanningnanneducationnprogramnonnwellnessninnanlocalnseniorncitizenncente
r.nThennursenplansntonprovideneducationnonnthenimportancenofnimmunizations,nannualn
physicalnexaminations,nscreeningnforndiabetes,nandnvisionnandnhearingnscreening.nItnisn
importantnfornthennursentonunderstandnwhichnofnthenfollowing?
a. Approximatelyn40%nofnoldernadultsn(agesn65nandnolder)nutilizenavailablenpreve
ntive
services
b. Preventivenstrategiesnarenmorenwidelynusedninnthen40-
64nagengroupnthanninnthen65
andnovernagengroup
c. Thenresearchnonnhealthnpromotionnstrategiesninnoldernadultsndemonstratesnthatnt
hey
havenlownefficacy
d. Therenisnannabundancenofnresearchnspecificntonhealthnpromotionnandnaging
ANS:nA
Approximatelyn40%nofnindividuals,nagesn65nandnolder,nutilizenthenpreventivenservicesnt
TESTnBANKnEbersolenandnHess’nTowardnHealthynAgingn
9thnEditionnTouhy,jett
, hatnarenavailablentonthem.nHowever,nonlyn24%nofnthosenbetweennthenagesnofn40nandn
64ndonso.nTherenisnanpaucitynofnresearchnspecificntonhealthnpromotionnandnaging;nhow
ever,nthenresearchnthatnexistsndemonstratesnthatnhealthnpromotionnstrategiesnarenhighlyne
ffective.
DIF: CognitivenLevel:nUnderstanding
REF:np.n7nTOP:n IntegratednProcess:nTeachin
g/Learning
MSC:n ClientnNeeds:nHealthnPromotionnandnMaintenance
5. Annursenisncaringnfornann85-year-
oldnmalenclientnwithndiabetesninnancommunitynsetting.nThennursenpromotesnfunction
alnwellnessnbynwhichnofnthenfollowingnactivities?
a. Encouragingnthenclientnmaintainsncurrentnlevelsnofnphysicalnactivity
b. Assistingnthenclientntonreceivenallnthenrecommendednpreventivenscreeningsnthat
nare
appropriatenfornhisnagengroup
c. Teachingnthenpatientnhowntonusenanrollingnwalkernsonthatnhencannambulatenfor
nlonger
distances
d. Encouragingnthenclientntonattendnhisnweeklynchessngames
ANS:nA
Maintainingnexistingnlevelsnofnphysicalnactivitynisnconsistentnwithnfunctionalnwellness.n
Teachingnthenclientnhowntonusenanrollingnwalkernenablesnthenclientntonremainnactivena
tnthenhighestnlevelnpossible,nwhichnisnannexamplenofnpromotingnfunctionalnwellness.nR
eceivingnrecommendednscreeningnisnannexamplenofnpromotingnbiologicalnwellness.nThe
nusenofnanrollingnwalkernshouldnbenbasednonnassessmentnofnphysicalnability.nEncouragi
ngnthenclientntonattendnweeklynchessngamesnisnannexamplenofnpromotingnsocialnwellne
ss.
DIF: CognitivenLevel:nApplying
REF:np.n10nTOP:n IntegratednProcess:nTeachin
g/Learning
TESTnBANKnEbersolenandnHess’nTowardnHealthynAgingn
9thnEditionnTouhy,jett
9thnEditionnTouhy,jett
Chaptern01:nHealthnandnWellnessninnannAgingnSociety
Touhy:nEbersolen&nHess'nTowardnHealthynAging,n9thnEdition
MULTIPLEnCHOIC
E
1. WhennaskednbynnewnparentsnwhatnthenlifenexpectancynisnforntheirnAfricannAmericann
newborn,nthennursenrepliesnthat,n“2010nstatisticsnindicatenthatnyournson:
a. willnhavenanlifenexpectancynofnapproximatelyn65nyea
rs.”
b. cannrealisticallynexpectntonlivenintonhisnlaten80s.”
c. hasnangoodnchancenofncelebratingnhisn75thnbirthday.”
d. isnlikelyntonlivenintonhisnlaten90s.”
ANS:nC
Inn2010,nmenninnthenUnitednStatesnatnagen60ncannexpectntonlivenanothern22nyears.n
ThenlifenexpectancynofnAfricannAmericannmennisnaboutn4.7nyearsnlessnthannwhitenm
en.nOfnthenoptionsnabove,nCnisnthenonlynresponsenthatnfitsnintonthosenparameters.nTh
enothernoptionsnarennotnsupportednbynreliablenresearch.
DIF: CognitivenLevel:nUnderstanding
REF:np.n3nTOP:n IntegratednProcess:nTeachin
g/Learning
MSC:n ClientnNeeds:nHealthnPromotionnandnMaintenance
2. Annursenisnplanningncarenfornangroupnofnsuper-
centenariansninnannassistednlivingnfacility.nThennursenconsidersnwhichnofnthenfollowin
g?
TESTnBANKnEbersolenandnHess’nTowardnHealthynAgingn
9thnEditionnTouhy,jett
, a. Mostnsuper-centenariansnarenfunctionallynindependentnornrequirenminimal
assistancenwithnactivitiesnofndailynliving
b. Thenmajoritynofnsuper-centenariansnhavencognitivenimpairment
c. Thennumbernofnsuper-
centenariansnisnexpectedntondecreaseninncomingnyearsnasna
resultnofnheartndiseasenandnstroke
d. Itnisntheorizednthatnsuper-
centenariansnsurvivednasnlongnasntheynhavenduentongenetic
mutationsnthatnmadenthemnlessnsusceptiblentoncommonndiseases
ANS:nA
Researchnsupportsnthatnmostnsuper-
centenariansnarenfunctionallynandncognitivelynintact,nrequiringnminimalnassistancenwithn
ADLs.nThennumbernofnsuper-
centenariansnisnexpectedntonincreaseninncomingnyearsnasnthennumbernofnoldernadultsninc
reases.nThenreasonnwhynindividualsnsurvivednasnlongnasntheynhavenisnnotnknown.
DIF: CognitivenLevel:nRemembering
REF:np.n4nTOP:n IntegratednProcess:nTeachin
g/Learning
MSC:n ClientnNeeds:nHealthnPromotionnandnMaintenance
3. Onenreasonnwhynmanyn“babynboomers”nhavenmultiplenchronicnconditionsnsuchnasnheart
ndisease,ndiabetes,nandnarthritisnisnthat:
a. theynhavenlessnaccessntonmedicationnandnotherntreatmentnregimens.
b. therenwasnanlacknofnimportancenplacednonnhealthynlivingnasntheynwerengrowi
ngnup.
c. theyndidnnotnhavenaccessntonimmunizationsnagainstncommunicablendiseasenwh
en
theynwerenchildren.
d. theyngrewnupninnanneranofnrampantnpovertynandnmalnutrition.
TESTnBANKnEbersolenandnHess’nTowardnHealthynAgingn
9thnEditionnTouhy,jett
, ANS:nB
Thenbabynboomers,nindividualsnbornnbetweenn1946nandn1964,npost-
WWII,nhavenbetternaccessntonmedicationnandntreatmentnregimensnthannotherncohorts.nTh
eynhavenhadnthenbenefitnofnthendevelopmentnofnimmunizationsnagainstncommunicablendi
seases.nTheyngrewnupninnanneranofnprosperitynpost-
WWII.nHowever,ntherenwasnanlacknofnimportancenplacednonnwhatnwennownconsidernhe
althynlivingnwhenntheynwerenyounger.nSmoking,nfornexample,nwasnnotncondoned,nbutn
wasnconsiderednansymbolnofnstatus.nCandyninnthenshapenofncigarettesnwasnpopular,nand
ntherenwasnmuchnsecondhandnsmoke.
DIF: CognitivenLevel:nRemembering
REF:np.n6nTOP:n IntegratednProcess:nTeachin
g/Learning
MSC:n ClientnNeeds:nHealthnPromotionnandnMaintenance
4. Annursenisnplanningnanneducationnprogramnonnwellnessninnanlocalnseniorncitizenncente
r.nThennursenplansntonprovideneducationnonnthenimportancenofnimmunizations,nannualn
physicalnexaminations,nscreeningnforndiabetes,nandnvisionnandnhearingnscreening.nItnisn
importantnfornthennursentonunderstandnwhichnofnthenfollowing?
a. Approximatelyn40%nofnoldernadultsn(agesn65nandnolder)nutilizenavailablenpreve
ntive
services
b. Preventivenstrategiesnarenmorenwidelynusedninnthen40-
64nagengroupnthanninnthen65
andnovernagengroup
c. Thenresearchnonnhealthnpromotionnstrategiesninnoldernadultsndemonstratesnthatnt
hey
havenlownefficacy
d. Therenisnannabundancenofnresearchnspecificntonhealthnpromotionnandnaging
ANS:nA
Approximatelyn40%nofnindividuals,nagesn65nandnolder,nutilizenthenpreventivenservicesnt
TESTnBANKnEbersolenandnHess’nTowardnHealthynAgingn
9thnEditionnTouhy,jett
, hatnarenavailablentonthem.nHowever,nonlyn24%nofnthosenbetweennthenagesnofn40nandn
64ndonso.nTherenisnanpaucitynofnresearchnspecificntonhealthnpromotionnandnaging;nhow
ever,nthenresearchnthatnexistsndemonstratesnthatnhealthnpromotionnstrategiesnarenhighlyne
ffective.
DIF: CognitivenLevel:nUnderstanding
REF:np.n7nTOP:n IntegratednProcess:nTeachin
g/Learning
MSC:n ClientnNeeds:nHealthnPromotionnandnMaintenance
5. Annursenisncaringnfornann85-year-
oldnmalenclientnwithndiabetesninnancommunitynsetting.nThennursenpromotesnfunction
alnwellnessnbynwhichnofnthenfollowingnactivities?
a. Encouragingnthenclientnmaintainsncurrentnlevelsnofnphysicalnactivity
b. Assistingnthenclientntonreceivenallnthenrecommendednpreventivenscreeningsnthat
nare
appropriatenfornhisnagengroup
c. Teachingnthenpatientnhowntonusenanrollingnwalkernsonthatnhencannambulatenfor
nlonger
distances
d. Encouragingnthenclientntonattendnhisnweeklynchessngames
ANS:nA
Maintainingnexistingnlevelsnofnphysicalnactivitynisnconsistentnwithnfunctionalnwellness.n
Teachingnthenclientnhowntonusenanrollingnwalkernenablesnthenclientntonremainnactivena
tnthenhighestnlevelnpossible,nwhichnisnannexamplenofnpromotingnfunctionalnwellness.nR
eceivingnrecommendednscreeningnisnannexamplenofnpromotingnbiologicalnwellness.nThe
nusenofnanrollingnwalkernshouldnbenbasednonnassessmentnofnphysicalnability.nEncouragi
ngnthenclientntonattendnweeklynchessngamesnisnannexamplenofnpromotingnsocialnwellne
ss.
DIF: CognitivenLevel:nApplying
REF:np.n10nTOP:n IntegratednProcess:nTeachin
g/Learning
TESTnBANKnEbersolenandnHess’nTowardnHealthynAgingn
9thnEditionnTouhy,jett
